| Doctor Name: | JENNIFER C SANDERS |
| NPI Number: | 1043633696 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-BC |
| License Number: | R817657 |
| Business Practice Address: | 124 W Commerce St Hernando, MS - 386322240 |
| Business Phone Number: | 6624295221 |
| Business Fax Number: | 6624297917 |
| Mailing Address: | Po Box 1000, Dept # 978 MEMPHIS |
| State: | TN |
| Postal Code: | 381480001 |
| Phone Number: | 9014619173 |
| Fax Number: | 6624297917 |
| NPI Enumeration Date: | 01/31/2014 |
| NPI Last Update Date: | 01/31/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R817657 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |